Hugo strode along the corridor without more than a passing glance through the long windows opening onto a wide verandah. Some of Nancy’s fellow long-stay geriatric patients were ensconced in comfortable armchairs, enjoying the last fleeting warmth of the late winter’s afternoon sunshine. This winter would undoubtedly be Nancy’s last but Hugo was determined to pull her through this new bout of pneumonia so that she could enjoy for just a little longer the spectacular snow-covered peaks of the mountainous region she loved so much.
The double doors at the end of the wide corridor flapped in response to Hugo’s firm push. The trauma room he was now in was curiously empty. This was their assessment and resuscitation area for serious injuries or illness, so where was the urgent case he had been summoned for? Hugo kept moving, through to the four-bed treatment room which led to the small reception and waiting area. He could hear Lizzie now, speaking with all the sternness and authority she had gained over her many years’ nursing experience.
‘You’ll have to shift it. You’re parked in the ambulance bay and there’s an ambulance due to arrive any minute.’
‘I’m not shifting. This is supposed to be a hospital, isn’t it? Where’s a bloody doctor when you need one?’
‘Right here.’ Hugo slowed his pace as he entered the reception area. His gaze took in Lizzie’s arms, folded over her ample bosom, a man in belligerent stance with beefy hands gripping his hips, the open-mouthed fascination with which Anne, the receptionist, was watching the scene and finally the small tour bus parked in front of the ambulance loading platform.
‘I’m Dr Patterson,’ he added calmly. ‘What seems to be the problem?’
The telephone began ringing just as both Lizzie and the man spoke at precisely the same moment.
‘They’re sick—the whole bloody lot of them,’ the man announced impatiently.
‘It looks like mild food poisoning to me,’ Lizzie said. ‘There’s eleven of them.’
Anne’s voice cut into the pause as Hugo held up a hand to request one speaker at a time.
‘I’ve got Mr Payne on the phone, Hugh. He sounds very upset.’
‘Lizzie?’ Hugo tilted his head as he moved towards the desk, inviting the senior nurse to follow. ‘Just give me a second with Mr Payne and then you can fill me in.’ He took the phone from Anne. ‘Hugh Patterson.’ He listened for a few seconds. ‘Try and calm down, Tom. How long has she been missing? Has she been unwell in any way today?’ He listened again for a moment. ‘If you don’t find her in the next few minutes, call the police in to help. We can send an ambulance out as well if you need it.’
Lizzie was shaking her head as Hugo hung up. ‘The ambulance won’t be available for at least ten minutes. It’s on its way back from Coronet Peak with a ski trauma. Erin Willoughby’s broken her arm, snowboarding.’
‘Oh, no!’ It wasn’t the first time Hugo had had cause to regret working in such a popular location for adventure sports of all kinds. It was easy to attract staff, especially young nurses who had leisure pursuits such as skiing, but it led to a high staff turnover and complications such as staff shortages due to injuries like this. ‘We’re short-staffed as it is.’
‘I know,’ Lizzie agreed grimly. ‘And we’re heading into the winter peak season.’ She glanced over her shoulder, frowning. ‘Where’s that bus driver gone?’
Hugo could see where. Young Japanese tourists were climbing off the bus, some clutching their stomachs and some holding suspiciously full-looking paper bags. They were all heading for the pedestrian entranceway to the hospital.
Lizzie followed his gaze and sighed heavily. ‘I’ve told him that we can’t admit them all. I’ve talked to Jenny, who’s the GP on call for their hotel, and she’s happy to keep an eye on them. They’ll be fine if they go to bed and keep their fluid intake up.’
‘Have you checked them out?’
Lizzie gave Hugo a look that suggested he should know better than to ask such a question. ‘Only half of them are vomiting so far and the ones that have are feeling better already. None of them are showing any signs of dehydration.’
‘They’re all very young.’ Hugo smiled automatically at the first couple entering the reception area but received no response. One after another the tourists filed in, followed by the driver.
‘There you go,’ he told them with satisfaction. ‘They just need something to stop them throwing up and we’ll get out of your way.’
‘Stopping the vomiting will only keep them sick longer,’ Lizzie responded coolly. ‘Their bodies are just trying to eliminate the toxin.’
The girl who approached them was looking very pale. ‘Where is toilet, please?’
‘Through there.’ Lizzie pointed to the door at one side of the desk and the girl turned in the direction indicated. The queue for the single cubicle was instantly a problem.
‘Anne, could you hand out some vomit containers, please? You might need to show some people through to a ward if they need a toilet as well. We’re not going to cope with just this one.’ Hugo turned to the bus driver. ‘Are you the only one who isn’t unwell?’
‘Yep. That’s because I didn’t eat the picnic. I don’t go for weird things like seaweed. I went to the pub and got a pie instead.’
‘They stopped at Alexandra,’ Lizzie explained. ‘To eat the fish sushi they collected in Dunedin this morning. Everyone else ate the sushi and started getting sick within two hours. Five couples and the tour guide.’
‘It’s the “Western Wedding Experience”,’ the driver added helpfully. ‘They have the white wedding in the stone church in Christchurch with full video recording and then they get the four-day adventure honeymoon. Ice-skating in Alex, gold mining stuff in Arrowtown—’
Anne was waving at Hugo. ‘Mr Payne’s on the phone again. They’ve found Mrs Payne but she’s refusing to go home and she hit him in the face. He can’t stop his nose bleeding.’
‘Sounds like her Alzheimer’s is getting worse,’ Lizzie commented.
‘It’s too much for Tom to manage, no matter how much he wants to,’ Hugo sighed. ‘We’ll have to get her in for assessment and look at a rest-home placement.’
A young man near the door groaned loudly and dipped his face towards the white plastic bucket he held. Hugo felt like groaning himself but the bus driver was cheerfully ignoring any interruptions.
‘There’s two days in Queenstown to do the four-wheel-drive Skippers Canyon run with bungy-jumping, white-water jet-boat ride, skiing and so on. We’re due for a dinner cruise on the lake tonight and…’
Hugo sucked in a deep breath. ‘We’ll send the ambulance out to check on the Paynes as soon as it arrives. Put Erin in the trauma room and keep our other visitors in Reception or the treatment room if any of them look like falling over.’ His smile was apologetic. ‘I’ll have to leave you to it for the moment. We’ve got a delivery imminent that may need assistance and I’ve to check that Nancy’s antibiotics are under way. She’s got another dose of pneumonia.’
‘Oh, no.’ Lizzie’s expression confirmed Nancy’s status
